kothapalli
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how to solve denial xray as inclusive to E/M.UHC denying xrays even E/M coded with 25 modier, Xray with 26 ot TC modifier.
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Wiki xray denials
- Thread starter kothapalli
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mstallings
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Xray denials
Hi,
I am not sure I understand your question fully. Where was the xray performed? Does the physician own the xray equipment ?
Hi,
I am not sure I understand your question fully. Where was the xray performed? Does the physician own the xray equipment ?
kothapalli
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EOB says 99213- 25 modifier paid and 71020 TC denied as CO 97 benifit of the service is included in the payment or allowance for another service or procedure that has alredy been adjudicated. there is no other service billed on this dos.
mitchellde
True Blue
Who billed the professional portion of the xray? It is possible they did not attach the 26 modifier and billed global.
kothapalli
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professional component is not billed.
dclark7
True Blue
Why isn't the professional component billed? I'm with mstallings, I don't understand your question. If your physician owns the equipment and he or his employee does the x-ray, you should be billing the global code. If you are not billing global, then who is reading the x-ray?